接纳承诺疗法护理对青少年非自杀性自伤行为的干预效果  

Intervention effect of acceptance and commitment therapy nursing on adolescents′ non-suicidal self-injury behavior

作　　者：黄丽平 何朝珠[2] 简小霞 曾玉[3] 胡茂荣[1] 罗涛[1] 李梦倩[1] HUANG Liping;HE Chaozhu;JIAN Xiaoxia;ZENG Yu;HU Maorong;LUO Tao;LI Mengqian(Department of Psychosomatic Medicine,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330200,China;Nanchang University,Jiangxi Province,Nanchang 330006,China;Department of Nursing,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330200,China)

机构地区：[1]南昌大学第一附属医院心身医学科,江西南昌330200 [2]南昌大学,江西南昌330006 [3]南昌大学第一附属医院护理部,江西南昌330200

出　　处：《中国当代医药》2025年第4期160-164,169,共6页China Modern Medicine

基　　金：江西省教育厅科学技术研究项目(GJJ2200156)。

摘　　要：目的研究接纳承诺疗法(ACT)护理对青少年非自杀性自伤(NSSI)行为的干预效果。方法选取2023年7月至12月在南昌大学第一附属医院进行治疗的80例青少年NSSI行为的患者作为研究对象,按照随机数字表法将其分为对照组(n=40)和观察组(n=40)。对照组采取常规护理,观察组在对照组基础上联合使用ACT护理。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、中文版心理弹性量表(CD-RISD)、接纳与承诺问卷第2版(AAQ-2)、渥太华自伤量表(OSI)评分。结果干预前两组患者SAS、SDS、CD-RISD、AAQ-2、OSI评分比较,差异无统计学意义(P>0.05),干预后两组SAS、SDS、AAQ-2及OSI评分低于本组干预前,且观察组上述各评分低于对照组,干预后两组CD-RISD评分高于本组干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。结论采取ACT干预能够在一定程度上缓解患者不良情绪、改善接纳与承诺程度、提高心理弹性,为临床实践提供理论指导。Objective To study the effect of acceptance and commitment therapy(ACT)nursing intervention on non-suicidal self-injury(NSSI)in adolescents.Methods A total of 80 adolescent patients with NSSI behavior who were treated in the First Affiliated Hospital of Nanchang University from July 2023 to December 2023 were selected as study objects,and they were divided into control group(n=40)and observation group(n=40)according to random number table method.The control group received routine care,and the observation group received ACT nursing in combination with the control group.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),Chinese version of Connor-Davidson resilience scale(CD-RISD),acceptance and action questionnaire-2nd edition(AAQ-2)and Ottawa self-injury inventory(OSI)were observed and compared between the two groups.Results There were no significant differences in SAS,SDS,CD-RISD,AAQ-2 and OSI scores between the two groups before intervention(P>0.05).After intervention,SAS,SDS,AAQ-2 and OSI scores between the two groups were lower than those before intervention,and the above scores in the observation group were lower than those in the control group,the scores of CD-RISD in the two groups after intervention were higher than before intervention,and the score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion ACT intervention can alleviate patients'negative emotions,improve acceptance and commitment,and enhance psychological resilience to a certain extent,providing theoretical guidance for clinical practice.

关 键 词：非自杀性自伤行为 青少年 接纳承诺疗法 焦虑抑郁情绪 

分 类 号：R749[医药卫生—神经病学与精神病学]